Lower Abdominal pain during orgasm

I am a gynecologist who studies this condition, and I may know what is causing it. First, a couple of seemingly unrelated questions: Do you have to pee all the time? Do you feel like you still need to pee after you are done? Do you have painful bowel movements, constipation or sensation of incomplete bowel emptying? Is intercourse painful sometimes? Have you experienced abdominal bloating or pain? If you answered yes to most of these questions, the culprit is probably your pelvic floor muscles. Physical therapy for the pelvic floor is curative. If you don't have resources for pelvic floor therapy, aggressively treat constipation - first empty out using a powerful laxative (like miralax), then start DAILY psyllium fiber therapy. 50% of patients will have improvement just by treating the bowel side of it. Breton F. Barrier, MD, FACOG, University of Missouri OBGYN

At least you get to have the orgasm, my cramping pain puts a stop to mine! Not fun!

I've just started having lower right side pain during orgasm. New for me during sex but have had pains there before and discovered some months ago from a physical therapist that my back pain is being caused by PSOAS muscle tightness/inflammation. Huge help! I've been suffering from back pain for years. I've had the lower right abdominal pain off and on for years also. I've seen a gastroenterologist and gynecologist about it. I've had an ultrasound and nothing. Physical therapist said my psoas especially on that side is extremely tight/spasming and inflammed. She was right! Daily stretching of the psoas and core strengthening and made all the difference to my back. My back has gotten better, so I've gotten lazy about doing it. Now I'm having the tightening spasm feeling during orgasm and I really think it may be my psoas. I've read several other posts talking about muscular spasm being a culprit for their pain. This would explain why some of the women still have pain even after surgery. It may not be the cause of everyone's pain but it may be the culprit for some. Please look into it. The PSOAS is a very deep muscle. Hard to find and work with. It is a culprit in many back pain cases and is activated during orgasm. It can hurt during exercise, and even may hurt when sitting as long hours of sitting is one of the reasons for it being tight. Runners often have pain here as well. You can find info if you google PSOAS and orgasm pain. Many youtube videos for stretching/releasing the PSOAS. You must be diligent though. Try to do daily and see if it makes a difference. Good luck! Hope you all find relief for your pain in whatever works! 

YOU DEFFINATELY HAVE A BLADDER INFECTION, UTI. go get some antibiotics and it will be cleared up within three days :)

Did you ever figure out what the problem is? I'm 18 And I experience the same thing right now. Almost seems like the exact same symptoms. I'm curious to know of you did ever solve the issue.

I have bad pains when turned on and after an orgasm. I'm 38, and the pain started at age 30. Plz help. I gave normal birth 4 yrs ago, so not that...

Did you find any news yet about your pain?

its nice to know im not the only one out there having this issue, im 43 been in the same relatioship for 6 yrs now. and just in the last yr ive been having this pain, ive went with out for more than 2 weeks and its still there. done all the test and nothing positive. not serious pain but it does seem to get more intense every month, so i ask whats a woman to do?

How did the cyst ruptured? Im in the same situation one doctor said it was a fibroid and other doctor said it was a cyst ,was looking have it removed! How can a cyst get ruptured?

What about a tiny hernia???? Would have to be diagnosed lap. Of course....

Awesome...will try as I have had every negative test except laproscopy..

I'm a 19 year old woman and 4 years ago I had a laparoscopy to remove endometriosis from my left ovary and bowels. I am now on a constant stream of birth control, I do not get any periods at all. This is to help keep more endometrial lesions from growing. However, I am facing (and have been facing, since I became sexually active) the same post-orgasm pain as many of you. It occurs within thirty seconds of my orgasm, and lasts 5-10 minutes. The pain becomes less substantial with bowel movements or gas. The best remedy I've found is to use icy-hot on my abdomen. When I first brought this issue to my gynecologist, she told me it was a neurological thing. The nerves in the vagina and clitoris become extremely excited when stimulated through orgasm, and sometimes the body interprets the excitedness as pain rather than just pleasure. She said that it is in no way connected to my endometriosis, though endometriosis is capable of causing similar pain during orgasm if the lesions are in the right places. I've heard of several other women being told the same thing, and it does sound like a relatively reasonable answer. However, the pain has grown substantially worse over the years, and I think it's time to ask the gyno again if there's anything she could do, as this is keeping me from having a normal sex life. I hope this was able to shed some light on others' situations.

Cysts typically rupture on their own, but can also rupture through exercise and other daily activities.

A laproscopy to remove endometriosis would improve your chances of having children rather than ruining them, as endometriosis is the leading cause of infertility in women. However, endometriosis isn't the only cause of pain during and after orgasm (though it can be one of them). I have endometriosis myself, as well as this pain, and I've had surgery to remove the endometriosis and I'm kept on constant birth control (no periods, ever) to keep the endometriosis at bay, but this pain has not gone away, in fact, it's gotten worse. My gynecologist says it's hypersensitivity of the nerves active in orgasm. These nerves become excited, and the body misinterprets this as pain. Not sure if this is true, but it's a thought.

I have the same problem and I think it's because of my hormone troubles. I've noticed that I only have it during times when I'm not getting a period. Will get it checked and post my finding- if any.